数字交付的肠道导向催眠治疗计划与刺激性肠道综合征的活性控制相比较
Ellen J Anderson1,2, Simone L Peters1, Peter R Gibson1,2
1Department of Gastroenterology, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
The American journal of gastroenterology
|June 28, 2024
概括
一个数字肠导向催眠疗法 (GDH) 计划显著改善了易怒肠综合征 (IBS) 症状和生活质量,与活跃对照相比. 这种数字方法为传统的个人IBS治疗提供了一个可访问的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 数字健康数字健康
- 精神病体医学是一种精神病体医学.
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍影响生活质量的疾病.
- 肠导向性催眠疗法 (GDH) 是一种有效的IBS治疗方法,但其可用性有限.
- 数字交付提供了一个潜在的解决方案,以改善GDH的可访问性.
研究的目的:
- 为了比较数字交付的GDH程序与IBS成年人的活跃对照的疗效.
- 评估胃肠道症状的改善,生活质量和心理健康.
主要方法:
- 一项随机对照试验,涉及244名IBS成年人.
- 参与者被分配到由GDH (Nerva) 或主动对照进行的42个会话的数字程序中.
- 评估的结果包括IBS症状严重程度尺度 (IBS-SSS),生活质量和心理症状.
主要成果:
- 在GDH组中,81%的参与者达到主终点 (IBS-SSS下降≥50点),而在活性对照组中为63% (P=0.002).
- 在GDH组中观察到IBS-SSS (P=0.004) 和IBS生活质量 (P<0.001) 的显著改善.
- 据报道,GDH组71%的患者报告疼痛减轻,而对照组35%的人报告疼痛减轻 (P<0.001).
结论:
- 数字交付的GDH在治疗IBS方面优于活性对照.
- 该计划在胃肠道症状和生活质量方面显著改善.
- 数字GDH为IBS的面对面行为疗法提供了一个公平和可访问的替代方案.
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